Richardson, Denise M
Richardson, Denise M is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort George G Meade MD 20755-7081. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Richardson, Denise M can be contacted via phone (301) 677-8440.Contact Information
Primary practice address
2480 Llewellyn Ave
Fort George G Meade MD 20755-7081
Phone: (301) 677-8440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D0061297 | Maryland |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0061297 | Maryland |
Profile Details
| NPI number | 1700890522 |
|---|---|
| LBN Legal business name | Richardson, Denise M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 18th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700890522 | NPPES |
| Maryland | MEDICAID | 408269900 |
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